NRCME Question bank review with correct
Answers 2023/2024, Exams of Nursing
A driver reports recently completing a drug rehabilitation program. Which of the following is
needed before you can certify this driver?
a. Clearance by a substance abuse professional.
b. A six month waiting period.
c. Evaluation and clearance by a board-certified psychiatrist.
d. All of the above. -: answers :-clearance by SAP
Which of the following is NOT documented on the medical evaluation report form?
a. Driver height.
b. Driver weight.
c. Driver respiratory rate.
d. All of the above are documented. -: answers :-RR not documented (Driver weight, height,
blood pressure, and heart rate are all documented on the MER)
Grip strength of 8lb. Certify? -: answers :-The FMCSA notes that grip strength must be
adequate for the driver to safely perform all tasks required of a CMV driver. However, the
FMCSA does not mandate any minimum threshold of grip strength. Average grip strength of a
man is *105-113 lbs*. Therefore, a grip strength of only 8 lbs. would have to be considered so
minimal as to not allow safe driving of a CMV.
Select the correct statement regarding the Medical Evaluation Report Form (MER) and the
Medical Examiner's Certificate (MEC):
, a. On the MER, you are required to enter the enter the uncorrected vision of a driver who wears
contacts, in addition to the corrected vision.
b. You must enter your license number in addition to your NRCME ID number on the MEC.
c. You must denote on the MER if the driver used a hearing aid for the hearing test and, if so, for
which ear(s).
d. All of the above are correct. -: answers :-c. Denote on MER if driver uses hearing aid.
The MER has a field for the provider's license number, but not the MEC. You do not record
uncorrected vision for a driver using corrective lenses.
How many "yes" responses to CAGE questionnaire suggest that the possibility of alcoholism
should be investigated further? -: answers :-two
Which standard or guideline allows Medical Examiner discretion?
a. Blood pressure. b. Epilepsy. c. Hearing. -: answers :-blood pressure
The medical examiner must follow the seizure/epilepsy, hearing non-discretionary standards.
There are Federal exemptions available for each of the non-discretionary standards.
. A driver has one ear canal completely plugged with wax but both ears pass the hearing
standard. The medical exam is otherwise normal. What is the next step? -: answers :-
Determination Pending until wax is removed since ME has to view tympanic membrane and
auditory canal prior to issuing MEC.
The driver admits during the examination that he drinks frequently, usually only on the
weekends, maybe a total 12 to 14 beers each week to help him unwind. The examiner provides
a "CAGE" questionnaire and the driver scores a 1 on the questionnaire. The rest of the
examination is unremarkable. The examiner should: -: answers :-certify for 2 years
Answers 2023/2024, Exams of Nursing
A driver reports recently completing a drug rehabilitation program. Which of the following is
needed before you can certify this driver?
a. Clearance by a substance abuse professional.
b. A six month waiting period.
c. Evaluation and clearance by a board-certified psychiatrist.
d. All of the above. -: answers :-clearance by SAP
Which of the following is NOT documented on the medical evaluation report form?
a. Driver height.
b. Driver weight.
c. Driver respiratory rate.
d. All of the above are documented. -: answers :-RR not documented (Driver weight, height,
blood pressure, and heart rate are all documented on the MER)
Grip strength of 8lb. Certify? -: answers :-The FMCSA notes that grip strength must be
adequate for the driver to safely perform all tasks required of a CMV driver. However, the
FMCSA does not mandate any minimum threshold of grip strength. Average grip strength of a
man is *105-113 lbs*. Therefore, a grip strength of only 8 lbs. would have to be considered so
minimal as to not allow safe driving of a CMV.
Select the correct statement regarding the Medical Evaluation Report Form (MER) and the
Medical Examiner's Certificate (MEC):
, a. On the MER, you are required to enter the enter the uncorrected vision of a driver who wears
contacts, in addition to the corrected vision.
b. You must enter your license number in addition to your NRCME ID number on the MEC.
c. You must denote on the MER if the driver used a hearing aid for the hearing test and, if so, for
which ear(s).
d. All of the above are correct. -: answers :-c. Denote on MER if driver uses hearing aid.
The MER has a field for the provider's license number, but not the MEC. You do not record
uncorrected vision for a driver using corrective lenses.
How many "yes" responses to CAGE questionnaire suggest that the possibility of alcoholism
should be investigated further? -: answers :-two
Which standard or guideline allows Medical Examiner discretion?
a. Blood pressure. b. Epilepsy. c. Hearing. -: answers :-blood pressure
The medical examiner must follow the seizure/epilepsy, hearing non-discretionary standards.
There are Federal exemptions available for each of the non-discretionary standards.
. A driver has one ear canal completely plugged with wax but both ears pass the hearing
standard. The medical exam is otherwise normal. What is the next step? -: answers :-
Determination Pending until wax is removed since ME has to view tympanic membrane and
auditory canal prior to issuing MEC.
The driver admits during the examination that he drinks frequently, usually only on the
weekends, maybe a total 12 to 14 beers each week to help him unwind. The examiner provides
a "CAGE" questionnaire and the driver scores a 1 on the questionnaire. The rest of the
examination is unremarkable. The examiner should: -: answers :-certify for 2 years
